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Oncology

Oncology

Our oncology billing services handle intricate coding for chemotherapy, radiation therapy, and diagnostic testing. We apply accurate ICD-10 and CPT codes to ensure compliance and minimize claim rejections, helping oncology practices maintain financial stability despite complex payer requirements.

Compassionate support for high-complexity care. Oncology billing requires accurate chemotherapy coding, drug units tracking, and prior authorization expertise. We help oncology practices reduce denials and improve cash flow with deep knowledge of infusion protocols and payer nuances. With high-cost treatments and specialized drug regimens, oncology billing demands precision. Our experts handle chemotherapy coding, prior authorizations, and payer-specific requirements seamlessly.

QuantumX delivers:

  • Accurate infusion and chemotherapy drug unit coding
  • Revenue capture for E/M visits, lab/pathology services, and supportive therapies
  • Authorization management for specialty treatments
  • Compliance with payer-specific chemotherapy protocols and Medicare rules
  • Complex billing for chemotherapy and radiation therapy demands compliance with payer policies. Streamlines complex chemotherapy billing with AI tools for faster payments. Complex billing requirements align with industry focus on compliance and analytics. Compassionate Billing for Life-Saving Treatmentsseamlessly. Complex billing for chemotherapy and radiation therapy demands compliance with payer policies.
  • Streamlines complex chemotherapy billing with AI tools for faster payments.
  • Complex billing requirements align with industry focus on compliance and analytics.
  • Compassionate Billing for Life-Saving Treatments Oncology practices deal with high-cost drugs, chemotherapy regimens, and time-sensitive treatments. Billing errors can be extremely costly here.
Billing Challenge QuantumX RCM Solution
Chemo drug underbilling (e.g., J9264 for paclitaxel) Auto-calculates units based on BSA (mg/m²) and links to ICD-10 (e.g., C34.90).
Incorrect infusion timing (e.g., 96413 vs. 96415) Captures start/stop times + documentation of hydration overlap.
Missing genetic test approvals (e.g., BRCA, PD-L1) Prior auth team submits NCCN guidelines with claims (e.g., 81162).
Stem cell billing errors (e.g., Q2043) Tracks CD34 counts and transplant phases (mobilization, harvesting).
Unsupported E/M levels for cancer consults Templates ensure ROS, complexity, and treatment plans justify 99205/99245.
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